RN - Medical Step Down Unit

Carilion Clinic; Roanoke (VA); On-site; USD 46,000 - 69,000; Full time

Benefits offered by this job

Sign on Bonus

Paid Time Off

Medical Benefits

Onsite fitness facilities

Education/Training

Job summary

Carilion Clinic in Roanoke, Virginia, is seeking a registered nurse for a 26-bed progressive care unit (open) with day/evening/night shifts. A sign-on bonus is available. Requires Virginia RN license or eligibility, BLS-HCP, and strong clinical assessment., critical thinking, and teamwork.

Fast-paced environment emphasizing patient-centered care across all ages. The RN will provide care, collaborate with the healthcare team, document in EMR, and participate in performance improvement and

Qualifications

• Graduate from a State Board of Nursing approved program.
• Current Virginia RN license or eligibility to obtain licensure required.
• AHA BLS-HCP required; ACLS/PALS/NRP may be required by area.

Responsibilities

• Provide individualized patient care across ages.
• Assess, plan, implement, and evaluate nursing care.
• Document care in electronic medical records accurately.
• Collaborate with patients, families and interdisciplinary teams to develop care plans.
• Support orientation and training of new staff and participate in quality initiatives.

Skills

Clinical assessment

Critical thinking

Interdisciplinary collaboration

EMR documentation

Education

Virginia RN license or eligibility

Tools

Electronic Medical Records

Job description

Employment Status:

Full time

Shift:

Day/Evening/Night (United States of America)

Facility:

1906 Belleview Ave SE - Roanoke

Requisition Number:

R163072 RN - Medical Step Down Unit (Open)

How You’ll Help Transform Healthcare:

Sign on Bonus

26-bed, high-acuity progressive care unit caring for complex patients who require continuous monitoring and frequent clinical intervention. Nurses practice in a fast-paced environment that demands strong assessment skills, critical thinking, and effective interdisciplinary collaboration.

The RN provides professional nursing care to patients across all age groups, supporting patient-centered care through assessment, planning, implementation, and evaluation of care. This role collaborates with the healthcare team to ensure safe, effective, and high-quality patient outcomes.

The RN

• Provides individualized patient care and coordinates care delivery for patients of all ages.
• Assesses, plans, implements, and evaluates patient care to achieve optimal outcomes.
• Completes and documents age-specific assessments to support development of care plans.
• Collaborates with patients, families, and interdisciplinary teams to develop and adjust care plans.
• Administers treatments and medications accurately and documents care in electronic medical records.
• Identifies and addresses patient and family education needs.
• Participates in performance improvement and quality initiatives.
• Advocates for patients and supports their rights and psychosocial needs.
• Applies knowledge of growth and development to provide age-appropriate care.
• Demonstrates clinical expertise in dynamic and changing care environments.
• Implements strategies to improve patient outcomes and resource utilization.
• Serves as a role model and supports development of peers and team members.
• Manages resources, prioritizes tasks, and adapts to changing patient care needs.
• Supports orientation and training of new employees.
• Uses problem-solving skills to address patient care and operational challenges.
• Provides feedback and participates in shared decision‑making activities.
• Supports education activities within the department.
• Maintains confidentiality and complies with regulatory and organizational standards.
  

What We Require:

Education: Graduate of a State Board of Nursing approved program required.

Experience: None.

Licensure, Certification and/or Registration: Current Registered Nurse license in the Commonwealth of Virginia required or eligibility to obtain licensure required.

Life Support: AHA BLS-HCP required. Additional certifications such as ACLS, PALS or NRP may be required based on assigned work area.

Other Minimum Qualifications: Keyboarding skills and computer literacy required, including use of electronic medical records. For Behavioral Health roles, must demonstrate ability to safely manage disruptive or potentially violent patients.

This job description is intended to be a representative summary of the major responsibilities and accountabilities performed by incumbents in this role. Incumbents may be requested to perform job‑related tasks other than those specifically presented in this description.

Compensation Range:

$33.52 - $50.28

Employee pay is based on a variety of factors, including qualifications, credentials, education, and prior work experience. The compensation range does not include benefits or pension plan.

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug‑Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800‑599‑2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Benefits, Pay and Well-beingat Carilion Clinic

Carilion understands the importance of prioritizing your well‑being to help you develop and thrive. That’s why we offer a well‑rounded benefits package, and many perks and well‑being resources to help you live a happy, healthy life – at work and when you’re away.

When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Personify Health
• Discounts on childcare
• Continued education and training